Dental Board of California
Licensing details for: 100778
Name: HALES, TYLER
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FACER HALES PARKER DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 18267 Primary Status: Expired
Address :
777 Corporate Dr
Ste 100
LADERA RANCH CA 92694-2135
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HALES AESTHETIC DENTAL OFFICE OF DR. TYLER HALES
License/Registration Type: Fictitious Name Permit
License Number: 19082 Primary Status: Expired
Address :
2600 EAST COAST HWY., SUITE 260
CORONA DEL MAR CA 92625
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HALES PARKER DENTISTRY DENTAL GROUP OF DR TYLER HALES AND DR LINCOLN PARKER
License/Registration Type: Fictitious Name Permit
License Number: 15062 Primary Status: Expired
Address :
777 CORPORATE DR., SUITE 100
LADERA RANCH CA 92694
ORANGE COUNTY



